,i  #aafth ,,congress  #ast ,session    
,h4 ,r4 #dffi  ,,in ,,the ,,house ,,of  
,,representatives  ,october #aa1        
#bjai,ms4 ,stevens 7for herself1 ,mrs4  
,hayes1 ,ms4 ,kuster of ,new ,hampshire1
 and ,ms4 ,sewell of ,alabama7          
introduced the following bill2 which was
 referred to the ,committee on ,energy  
and ,commerce1 and in addition to the   
,committee on ,ways and ,means1 for a   
period to be subsequently determined by 
the ,speaker1 in each case for          
consideration of such provisions as fall
 within the jurisdiction of the         
committee concerned  ,a ,,bill  ,to     
amend title ,,xviii of the ,social      
,security ,act to provide for           
intelligent assignment of certain       
subsidy eligible individuals            
auto-enrolled under ,medicare           
prescription drug plans and ,,ma-,,pd   
plans4  #a4 ,short title ,this ,act may 
be cited as the ,maximizing ,drug       
,coverage for ,low-,income ,seniors ,act
 of #bjai4  #b4 ,providing for          

intelligent assignment of certain       
subsidy eligible individuals            
auto-enrolled under ,medicare           
prescription drug plans and ,,ma-,,pd   
plans  7a7 ,in general ,section         
#ahfj;,d-#a7;b77#a7 of the ,social      
,security ,act 7#db ,u4,s4,c4           
#aciew-#aja7;b77#a77 is amended--  7#a7 
in subparagraph 7,c7-- 7,a7 by inserting
 after ,,pdp region the following3 or   
through use of an intelligent assignment
 process that is designed to maximize   
the access of such individual to        
necessary prescription drugs while      
minimizing costs to such individual and 
to the program under this part to the   
greatest extent possible4 ,in the case  
the ,secretary enrolls such individuals 
through use of an intelligent assignment
 process1 such process shall take into  
account the extent to which prescription
 drugs necessary for the individual are 
covered in the case of a ,,pdp sponsor  
of a prescription drug plan that uses a 
formulary1 the use of prior             

authorization or other restrictions on  
access to coverage of such prescription 
drugs by such a sponsor1 and the overall
 quality of a prescription drug plan as 
measured by quality ratings established 
by the ,secretary2 and  7,b7 by striking
 ,nothing in the previous sentence and  
inserting ,nothing in this subparagraph2
 and  7#b7 in subparagraph 7,d7--  7,a7 
by inserting after ,,pdp region the     
following3 or through use of an         
intelligent assignment process that is  
designed to maximize the access of such 
individual to necessary prescription    
drugs while minimizing costs to such    
individual and to the program under this
 part to the greatest extent possible4  
,in the case the ,secretary enrolls such
 individuals through use of an          
intelligent assignment process1 such    
process shall take into account the     
extent to which prescription drugs      
necessary for the individual are covered
 in the case of a ,,pdp sponsor of a    
prescription drug plan that uses a      

formulary1 the use of prior             
authorization or other restrictions on  
access to coverage of such prescription 
drugs by such a sponsor1 and the overall
 quality of a prescription drug plan as 
measured by quality ratings established 
by the ,secretary2 and  7,b7 by striking
 ,nothing in the previous sentence and  
inserting ,nothing in this subparagraph4
  7b7 ,effective date ,the amendments   
made by subsection 7a7 shall apply with 
respect to plan years beginning with    
plan year #bjbb4